BRIAN JACKSON

PITTSBURG, CA
NPI1497464010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2022-11-22
Last Update Date2023-05-04
Business Address
BRIAN JACKSON
51 MARINA BLVD
PITTSBURG, CA 94565-2068
Phone number: 510-851-0027
Mailing Address
BRIAN JACKSON
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-851-0027